谁访问初级医疗保健的全科医生,为什么? 一项基于芬兰城市的登记册的研究
Mika T Lehto1,2, Timo Kauppila1,2, Hannu Kautiainen1,3
1Department of General Practice and Primary Health Care, University of Helsinki and Helsinki University Hospital, Helsinki, Finland.
International journal of circumpolar health
|June 13, 2024
概括
芬兰万塔的全科医生主要诊断肌肉骨和呼吸系统疾病. 儿童和老年人是初级保健服务的主要用户,健康检查占全科医生工作的重要部分.
科学领域:
- 公共卫生 公共卫生
- 一般实践 一般实践
- 医疗保健服务研究 医疗服务研究
背景情况:
- 初级医疗保健服务对于管理常见健康状况至关重要.
- 在一般实践中了解诊断模式和患者人口统计数据对于资源配置和服务规划至关重要.
- 电子健康记录 (EHR) 为分析临床实践趋势提供了有价值的数据.
研究的目的:
- 分析芬兰万塔市的全科医生记录的诊断分布.
- 确定使用初级保健服务的最常见的诊断和患者人口统计数据.
- 评估医生工作量中健康检查的比例.
主要方法:
- 一项基于登记的研究,利用来自电子健康记录 (EHR) 系统的数据.
- 分析2016年1月至2018年12月在芬兰万塔的所有诊断记录.
- 计算国际疾病分类 (ICD-10) 诊断的绝对数量和相对比例.
主要成果:
- 88种最常见的诊断占全家长诊断的75%.
- 肌肉骨系统 (3.8%,ICD M54) 和呼吸系统 (6.0%,ICD J06) 的诊断是最常见的.
- 主要使用初级保健服务的是儿童 (5岁以下) 和老年人 (65岁以上).
- 健康检查占全科医生访问的20%,特别是儿童和产妇护理.
- 15-79岁的女性比男性更频繁地使用GP服务.
结论:
- 一个有限的诊断数量覆盖了大部分的全科医院工作量.
- 在芬兰这个城市环境中,儿童和老年人是GP服务的主要用户群体.
- 健康个体的健康检查是全科医生职责的重要组成部分.
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